Individual
DR. KONSTANTINOS GUS KALLINIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 NEPTUNE AVE, BROOKLYN, NY 11224-4063
(718) 996-6000
(718) 996-6019
Mailing address
532 NEPTUNE AVE, SUITE 203, BROOKLYN, NY 11224-4010
(718) 996-6000
(718) 996-6019
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01977971
—
NY
01
—
03655
GHI MEDICARE
NY
01
—
161148
ELDERPLAN
NC
01
—
1902861
UNITED HEALTH CARE
NY
01
—
2700985
EVERCARE
NY
01
—
480034729
MEDICARE RAILROAD
NY
01
—
4C0018
PHS
NY
01
—
6201697
GHI
NY
01
—
N005435
HIP
NY
01
—
P1946748
OXFORD
NY
Enumeration date
08/22/2005
Last updated
01/12/2017
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